AI moves faster than the law: the evidence dilemma - Dr Andrei Baciu, Romanian Parliament

In this episode of Tech Anatomy, Anca Petre sits down in Bucharest with Dr Andrei Baciu, a cardiovascular surgeon turned policymaker. Trained in Romania and at Rouen University Hospital in France, he served as Secretary of State at the Romanian Ministry of Health and led the country's COVID-19 vaccination committee before joining the Romanian Parliament, where he has proposed the first parliamentary committee dedicated to artificial intelligence. Together, they explore what the United Nations calls the "evidence dilemma": AI is being adopted faster than institutions can gather the evidence they need to write its rules. From the operating room to the UN Global Dialogue on AI Governance in Geneva, this conversation looks at how health systems can adopt AI responsibly without waiting for perfect certainty.

Topics covered:

• The evidence dilemma: acting on the best available evidence, as in emergency medicine, and keeping on monitoring.
• How a public payer can tell real value from hype: baseline, pilot, strict KPIs.
• The risk of deskilling: what happens to clinical judgment when doctors rely on AI.
• Agree to Disagree: language models and patient records, who really writes the rules, and telling patients when an algorithm took part in a decision.
• Why public institutions lack AI capacity, and his idea of a network connecting lawmakers around the world.

Chapters:

0:00 Teaser

0:29 Introduction

2:26 The evidence dilemma

7:49 Telling real value from hype

10:18 Will AI deskill doctors?

13:49 Agree to Disagree

17:14 Transparency and the pace of institutions

20:07 Startups, funding and leadership

23:20 A parliamentary committee for AI

25:56 In one word

Credits:

Production: MedShake Studio

Host: Anca Petre

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